An alternative approach to needle placement in cervicothoracic epidural injections

The use of fluoroscopy guidance together with the loss of resistance technique during epidural injections has been advocated lately; moreover, epidural injections in the absence of fluoroscopic guidance have a high rate of inaccurate needle-tip placement during the injections. However, the approach...

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Bibliographic Details
Published in:The Korean journal of pain 2012, 25(3), , pp.183-187
Main Authors: Park, Seung Yong, Leem, Jung Gil, Jung, Sung Hwan, Kim, Young Ki, Koh, Won Uk
Format: Article
Language:English
Subjects:
Case Report
마취과학
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Summary:The use of fluoroscopy guidance together with the loss of resistance technique during epidural injections has been advocated lately; moreover, epidural injections in the absence of fluoroscopic guidance have a high rate of inaccurate needle-tip placement during the injections. However, the approach to the lower cervical and upper thoracic epidural space may be challenging due to its obscure lateral fluoroscopic views from overlying normal tissue structures. In this case, we report an alternative oblique C-arm fluoroscopy guided view approach to supplement the standard anterior-posterior and lateral fluoroscopic views to facilitate successful needle placement and precise anatomical localization of the epidural space.
ISSN:2005-9159
2093-0569
DOI:10.3344/kjp.2012.25.3.183